DECLASSIFIEDUSAF PROJECT BLUE BOOK · NARA T-1206
UNITED STATES AIR FORCE

PROJECT BLUE BOOK

UNIDENTIFIED FLYING OBJECT CASE FILES · 1947 – 1969
CASE REFERENCE8298235
DATE OF SIGHTINGAugust 1961
REPORTED LOCATIONMiddletown Ohio
FRAMES23

Machine transcription · mean legibility 68.6/100 · engines: tesseract-200dpi

Transcribed Frames

FRAME 001 / 023tesseract-200dpi
coureapnen yee as alia a maa al i ‘kT laill oe Lite we ae WY (ee ST oo ey CUFT err te ee

poenkte PROJECT 10073 RECORD CARD | | |

2. LOCATION 12. CONCLUSIONS

Mdadletow Oh Was Balloen
Middle “vOWNy, Inio Probably Balloon

3. DATE-TIME GROUP 4. TYPE OF OBSERVATION Possibly Balloon
—2 2 x EXkGround- Vi sual 0D Ground-Rodar : Was Aircraft

Probably Aircraft
0 Air Vi sual 0 Air-Intercept Radar Possibly Aircraft

4) — a
Was Astronomical CA €crsy
TIX Probebly Astronomical
Civilian O Possibly Astronomical

7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS | 9. COURSE O Other

0 Insufficient Dete fer Evaluction
0 Unknown

_ +

Local

1 hr } SE

= =~

10, BRIEF SUMMARY OF SIGHTINGRed light with flashed dN. COMMENTS Objt o

ghting was probably
). Motion of Beg
i > boa a

_

white, green, and blue. Brightness of 2nd mag4 star Capella (Auri
nitude star
is
~

thror uth a

si
ro.
. About twice size of Jupiter viewadalts appearance, dura
elescope. In orbit around earth. its position ail ten
Sion tnat objt was pro ebay star Cat
Witness indicates that he calculated
orbital period of objt to be ro gel 55
min and 42 sec. Length of
day is 23 hr

evidence inc

Lc

ATIC PORM 3729 (REV 26 SEP 52)
FRAME 002 / 023tesseract-200dpi
34. What were the weather conditions at the time you saw the object?

CLOUDS (Circle One) WEATHER (Circle One)

“@. Clear sky) @. Dry

b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow

e. Don't remember

35. When and to whom did you report that you had seen the object? Dib Jo Tee:

5 Zz bf
Dey Month Year
ve 92. — a

36. Was anyone else with you at the time you saw the object?

(Circle One) (Yes) No

“

a tl

36.1 IF you answered YES, did they see the object too?

(Circle One) (Yes / No

36.2 P!sase list their nam

37. Was this the first time that you hod seen an obtect or objects like this?

(Circle One) Yes) No

»

37.1 IF you answered NO, then when, where, and under what circumstances did you see other ones?

38. In your opinion what do you think the object was and whot might have caused it?

» ait he ee . ‘ ; 1, Hz | tach OO 03 Dit ff ve a
/ “4; ’ a x i. J 7c 7 PP a De Ft Ji Zé + , / é ? ~ FF ° “ ~~ Ay ‘
f ee 7 ~ $= : p ‘ s- Py -
ee OMe pee i TOTS fj“ it Jf fot , L Ae heeve’ ez Sa
.
* . ° ~ 7 oa ' ‘/} - f / dy
7 Ae. 4. 7 / v ie a See A / y wey ae 77° 6F he if } fF .

: wis : ~~ : f 7 i, fas ye / ~
f u/ oe om / <?, ay 4 LD Sté é 2. er F 4 Ss cc? AY ? £5 al ; . 7A Sf: - ve JS ?7 75

7 a » ; o , op d . Z : oe

BPP riz aoc he id She e arse he od j Cis/ re C7 SP% 7 J. Iw < f€

Ye be ftfhd twte Crd
FRAME 003 / 023tesseract-200dpi
Page 8

39. Do you think you can estimate the speed of the object?
(Circle One) (Yes ) No

IF you answered YES, then what speed would you estimate? /5. ave — /¥ oce [27 f? [ts

40. Do you think you can estimate how far away from you the object was?

(Circle One) Yes) No

41, Please give the following information about yourself:
NAM :

Co i -
reer
aaa ..... |

Sh “

t+ Sex Ze

Age

Indicate any additional information about yourself, including any education, which might:be pertinent.

42. Date you completed this questionnaire:

s
>
FRAME 004 / 023tesseract-200dpi
I i i jk a a a

Page 9

U.S. AIR FORCE TECHNICAL INFORMATION SHEET
(SUMMARY DATA)

In order that your information may be filed and coded os accurately as possible, please use
the following space to write out a short description of the event that you observed. You may re-
| peat information that you have already given in the questionnaire, and add any further comments,

| statements, or sketches that you believe are important. Try to present the details of the cbservo-
tion in the order in which they occurred. Additional pages of the same size paper may be attached

if they are needed,

NAME (Do Not Write in This Space)
(Please Print) CODE:

SIGNATURE

DATE

-f
he a 4 ts —_ -
AD 7 st ‘ BN rom ¢{ y ix - as
Pa i: he - — -
’
, © gion —
= ‘“ > ¢ JSfwlircs
Loto = A og: tat ay
ar

; Sak
" Pf - , - a —
> ’ 4 a ge | ated £ —_ ae. .

ene was
FRAME 005 / 023POOR LEGIBILITY — PENDING RE-EXAMINATION
ree hler 97

* —— ~~ . .
ed y - t- 1. : Z ;
C26 _ laLio tre ‘or Mabtte ta eed prs ds

cA. , ¢ a iz te.
a eft few e” 4 ; oe
-- eget Bate gt ae’ 2 LS,

er ae hs a oe ee oe pial wg | a tleti Asn ae. be oe)
‘ ; i Pag

? ? C hee rene a ths F O A nay eta ete,
ate pee Ms 3 oc et Praaee oe ae rm —
Je 440 Z egle. MG log 7 Pe x teed aes > tre : SS Attn tnd

eet Mae, Cs, A 2 tae. a Cir iio” ie ee ee ee
i? Po AA ae Gthete tte. aa — i are re cate tak

that ' Mapa Sills Ate olive Le iP LEE O- Ow
ee de ee I ee ee tie Eke tyert. Px

+
s

“

. ~ & 7 » ©*
<a tars xr eS ‘we PPciive — PA es tote —tI? .

holm G90 Jo AdlateR. Whe epee

‘ ‘ee Leh, aes Law She MOC Apa Goaw par hr _
Sr Aaa atte unbae I. CL attired OL

wat cites .

ped Papel Wied me: ee ee ae pein. 2

ee

wi eee ovis pier ach ee: eee Caety fu2iy AAS
i —

ZA <n 2 a { pal ; , 2
- 7 <7 e A ” , . g Le ae
a <P pale ae! « Paws tte ee Rl ma a Cae ay ae F i ~ ; a ~ ae aa % +s
- way j
Sy 7-4 - -t
LAY YA» Os es, “i 7 ae eB at 4 —— ia a
5 of s SO eZ / 7 , ‘, nm ~ Le s x ah _* 9 J : A: Samat
° ——_ 4 - ne - ee 2 ee
= . n > eae Se GO ~
; ¥
a zs GE bak & < Ae, / A Zz.
4

oe ed ce oe
: reeds oS
Led. Sit rthe., ot ‘e wtih po Jee Le poe ho LAL

tLirhet eh Ahn eae s Cg ee

_— - bee —_—_—
FRAME 006 / 023tesseract-200dpi
U.S. AIR FORCE TECHNICAL INFORMATION SHEET

This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomenon that you have observed.
Please try to answer as many questions.as you possibly can. The information that. you give will
be used for research purposes, and will be regarded as confidential material, Your name will-nof
be used in connection with any statements, conclusions, or publications without your permission.

We request this personal information so that, if it 1s deemed necessary, we may contact you for
further details.

]. When did yousee the object? 2. Time of day: — 2% a4

| Hour Minutes
— —f- “Sh (Circle One): = (A\M..) or PAM
(Circle One): M.. ) .M,
ay Month atte or :
ry Ti Z . i Boia
3. Time Zone (Circle ee ao (Circle One): a. Daylight Saving
. Central (b. Standard ’)
¢. Mountain ie ae
d. Pacific
e. Other

aw the object?

_f)1 Jd Le x ced VY 0? dy g tie

ostal Address City or Town r ie State or Country e
Additional remarks: — _ —
* 5. How long was object in sight? situa
Hours Minutes Seconds

5.1 How was time in sight determined?

AE soir
G_Cortain c. Not very sure
b. Fairly certain d. Just a guess

6. What wes the condition of the sky?

DAY NIGHT
a. Bright @. Bright)
b. Cloudy b. Cloudy mu Ss oe
ey, ie you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember

ATI\ C FEB 60 164 This form supersedes ATIC 164, 13 Oct 54.
FRAME 007 / 023tesseract-200dpi
Page 2

8. IF you saw the object.at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):

a. None a, Bright moonlight

be A few (5 Dull moonlight »
(c. Many) c. No moonlight — pitch dark
d. Don't remember d. Don’t remember

9. The object appeared:

(Circle One): a. hee lie b. Shiny ce. Dark d. Don’t remember
ae ©

ne ——

10. If it appeared as a light, was it brighter than the brightest :stars?

fe, Oo ion Dy 7 pA <. Ss va 2@ brishtwve 5S

1]. Did the object:

) p
WS wT - 77 2 -Y. Suid e SK”

(Circle One for each question)

a. Appecr to stand still ct any time? Yes No / Don’t Know
b. Suddenly speed up and rush away at any time? Yes lo Don't Know
¢. Break up into parts or explode? Yes No) Don’t Know
d. Give off smoke? Yes No) Don't Know
e. Change brightness? Yes No_ Don't Know
f. Change shape? Yes Don’t Know
g- Flash or flicker? Yes Don't Know
h, Disappear and reappear ? Yes Don’t Know

. Did the object move behind something at any time, particularly a cloud?

(Circle One): | Yes ( No? Don’t Know. IF you answered YES, then tell what
it moved behind: a TIO a i serictancillsencilaneceemiciinpcii

-~+ —~+-_-—--_—_-- ----- +--+ Crr--- +>

13. Did the object.move in front of something at any time, particularly a cloud? |
(Circle One): Yes Don’t Know. IF you answered YES, then tell what

in front of:

--—- -_ ~-—= -_—— — ——-. —_ ae

— ——— —_— _-—_———-

~~ -_— — =

—_ ____-- —__—_——_—_

—

14. Did the object appear: . (Circle One): @. Soli b. Transparent c. Vapor  d. Don’t Know

15. Did you observe the object through any of the following?

a, Eyeglasses Yes (No) e. Binoculars Yes io
b. Sun glasses Yes fio f. Telescope Wes) No
c. Windshield Yes No’ g- Theodolite Yes fio?
d. Window glass Yes No h. Other
FRAME 008 / 023tesseract-200dpi
Pass 3

16. Tell in a few words the following things about the object,
/

a. Sound ‘22k

b. Color

17. Draw a picture that will show the shape of the object or objects. Label.and include in your sketch any details

of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.
Place an orrow beside the drawing to show the direction.the object: was.moving.

is This Wife 2 {> Sy hemine fly
a | fe LL hy IPPC ATS Gypaerv
hy <3 b lye PvE LI, Ye 27 Himes,

, ;
' : Al - : ve les¢e ol +A, 5
‘i / “ - ote 2 em
fle (ight {tem Af, 5 AI x2 ae d OP LS ars Jo he
1s a feeles black , a3 ETI, ,
the Ovthnre ew pe

me (A tA fea dele SC Aye
a,

PPLE ‘> vas @ «2 1 2r 72 She
NMokeg Cf @.

18. The edges of the object were:

(Circle digs cmc mea vigiiee e. Other
Like a bright star/A*4 “re
c. Sharply outlined / ;2 fe/esco we

d. Don’t remember

19, IF there was MORE THAN ONE object, then how many were there?
Draw a picture of how they were arranged, and put on arrow to show the direction that they were traveling,
FRAME 009 / 023tesseract-200dpi
Page 4

20. Draw a picture that will show the motion that the object or objects. made, Place.an ‘A’ at the beginning of
the path, -o ‘B’’ at the end of the path, and show any changes in direction during the course.

v6

21. How large did the object appear to you as compared to an object. with which you are familiar?
7ivice SHhe ve SA , / Vane dy Ay: 2G i

TILE SSC ae

22. We wish to know the angular size. - Hold a match stick at arm's length in line with a known object.and note
how. much of the object is: covered by the head of the match. If you had performed this experiment:at the time
of the sighting, how much of the object would have been covered by the match head?

BH ef 10 if Yewed with see eye.

23. Did the object. disappear while you were watching it? If so, how?

ff
V4

24. In order that you can give as clear.a picture as possible of. what you saw, describe in your own words a

common object or objects which, when ploced.up in the sky, would give the same appearance as the object
which you saw.

eo hag tHatigtr with Cant hea fl of at Lari

Oe 5 |
TE Qo Py yetin Oe Le a Pee I Le Ae hog r oe eo ae

i
th oon ae A A wh! Att eae

fs nae ee Lan) as me ee its
FRAME 010 / 023tesseract-200dpi
<canceneaaaa naman arammmatss smmsclall i LN LL TIN We eee meres rman neyenne ce ne eee Sqrerer eo tah eg ees come Et

Page 5

25. Where were you located when you saw the object? 26. Were you (Circle One)
(Circle One):

om of

a. Inside a building b somsnenenarunsin

a, In the business _section of a city?
In the rasidential section of.a city? ”y

b. Ina car c. In open.countryside?
G_Ourdeers} d. Near an airfield?
» In an airplane (type) e. Flying over a city?

f. Flying over open country?
f. Other 7 g. Other

e. At sea

27. What were you doing at the time you saw the object, and how did you happen to notice it?

28. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: :
28.1 What direction were you moving? (Circle One)

c. North c. East e. South g. West
5. Northeast d. Southeast f. Southwest h. Northwest

23.2 How fast were you moving? ain miles per hour.

28.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes . No

. What direction were you looking when you first saw the object? (Circle One)

« West
a. North c. East ‘e. South

» Northwest
ke Northeast ) d. Southeast f. Southwest i. Overhead

30. - What direction were you looking when you last saw the object? (Circle One)

as a

g. West
s.  orh c. East e. South h. Northwest
b. Northeest | d. Southeast f. Southwest i. Overhead

31. If you ore familiar with bearing terms (angular direction), try to estimate the number of degrees the object wes
from true North (thru east) and also the number of degrees it was upward from the horizon (elevation).

31.1 When it first appeared:

a, From true North__ 3 2 degrees.
b. From horizon We degrees.

31.2 When it disappeared:

a. From true North Ak 5 degrees.
b. From horizon if degrees.

a
FRAME 011 / 023tesseract-200dpi
Gee OE) Gere Oe eet Filipe) Perea ee “* ‘oer

Page 6

——_- . —

32. In the following sketch, imagine that you are at the point shown, Place an “A” on the curved line to show how

high the object was above the horizon (skyline) when you first saw it. Place a “B” on the some curved line to
show how high the object was above the horizon (skyline) when you lost saw it.

en ae N Kako. Sie
: rim Ae ARN ere
GAZE SSPE EG Se AY! me

33. In the following larger sketch piace an “A” at the position the object was when you first saw it, and a “B” at its
position when you /ast saw it. Refer to smaller sketch as an example of how to complete the larger sketch.

Te a oe
FRAME 012 / 023POOR LEGIBILITY — PENDING RE-EXAMINATION
t ; " . a ; | 4 ' aay
NO eet Mega tan : “accion! FE COP
. vate : } : U Er ge COi
| D SEP. 1961.
Pa Your letter reporting the sighting of.a UFO has been fervand e
ins ed to
ee ine F peredin Technology Division. It does not contain sufficient infor~. |
pte a for a valid conclusion; therefore, request you complete the
oO getaehed form and return it in the attached self-addressed envelcope as.
s00h 85 poss aa
peaaiaas ~~ ES aS us ‘sm hip bh AE. “ai wy ‘4 goa ay hy Ree TS : % ‘ z Bis 3 Pe ip per See Sf ale
J: 2 Atchs
2 APIC Form 164, 2 cys —
| 2. Self-adéressed envelope

Stes

_

ee

aot? “Or.2.

ee
FRAME 013 / 023tesseract-200dpi
Page 7

34. What were the weather conditions at the time you saw the object?

CLOUDS (Circle One) WEATHER (Circle One)
G._Cleor shy ) ay,

b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow

e. Don’t remember

35. When and to whom did you report that you had seen the object?

a -

is a ATEL pr iddlidmr Jeadrved—
Dey Month Year a . : a -
4 ted, Nin Sos he Lf 4. be) fi A" s

36. Was anyone else with you at the time you saw the object?
er 4
(Circle One) (Yes,/ No
>,

36.1 IF you answered YES, did they see the object too?
(Circle One) (ves ) / No

34.2 Please list their nam

37. Was this the first time that you had seen an object or objects like this?

(Circle One) (es) No

37.1 IF you answered NO, then when, where, and under what circumstances did you see other ones?

38. In your opinion what do you think the object was and what might have caused it?

nl * . a Pp. - . . y — , p te
ee ge oa eee. le Ae Be TE Ladtn 3. Gd
. a 2 eg) ee =
net ss Zed Ar 4 47, « ch. te. SP et tJ —os-2 Seg Om
: ie a4 Ce .
4 fast BP 70 “mm 2 ae —t-7- Le Ag oy eA c &; Set- — ee LL 7 ed
. Y “an $553 6 / Z p a ~% oe sae
LLNA rE a ee ee ae a Kh. Lee. ae cae to oa t+" Z care, LA, ‘eatin 2 - ~ ues
? fp baa , ‘ -—
fu atid ci gt y2-“te. ti_dZ prim A Je Lert: n gS oe ga MOA AAAL ar at. fo eae re <r ae

FZ
’ frus

—— ip a 2? fi > —_—
Pp tt pote | —emte CCtl i.

*
FRAME 014 / 023tesseract-200dpi
Page 8

39. Do you think you can estimate the speed of the object?
(Circle One) Ges) No

IF you answered YES, then what speed would you estimate? /S are ~

41), Please give the followi about yourself:
— “wa cis - Se —
ost Neme ame lddle Neme

: fin ahd I DSF» 3.) pf ‘ ,
TELEPHONE Mae

Age #2 Sex 7?

Indicate any additional information about yourself, including any education, which .might:be pertinent.

42. Date you completed this questionnaire:
FRAME 015 / 023POOR LEGIBILITY — PENDING RE-EXAMINATION
Page 9

U.S. AIR FORCE TECHNICAL INFORMATION SHEET
(SUMMARY DATA)

In order that your information may be filed and coded os accurately as possible, please use
the following space to write out a short description of the event that you observed. You may re-
peat information that you have already given in the questionnaire, and add any further comments,
stotements, or sketches that you believe are important. Try to present the details of the observo-

tion in the order in which they occurred. Additional pages of the some size paper may be attached
if they are needed.

(Do Not Write in This Space)
CODE:

SIGNATU

*

© y . “ J. £f ws %
ae og ts, ae tik ‘aS CLr-+-Gar20 G, AG ¢ / Zt ee fee _wO- é 2 3 Ad Pp ee o~
et Sf | 5 F 2 « a
we Aaa 4 f 4y) Py are id a ik lm - ft-d- fie a Acie Lo o<¢ c- BS
7

* . _— - i" 2 « - * re, A ie —
Ps 7h ALK thay OF S — “et al a ay hp tof aor s ae i ., <
tHe if

eeies PPS ee. _ a LAre3 tiga em Co Pg <5 a: PT ON sie

o4
° J am - a SH /
Dee. Je £ ee ey Dhrr - Ce see rv oo ae Pe. ae ee ht
sow om z ? M7 —
ai il ae paapepeer A thin JS — BP a i~n~ EW se Miata ae
* SS tel
siti | or ¢ Aor bia “P2-C wae ; whe . poe aL< (en ~~ or te. ee a ae

? é
a Aap pony i Ce. ere ed os eRe reBia<K oe ee betas ode.
ve an a ee ae Lex fo. tes ' = .

"at

. , = -
oe aa call a nS <c _ fae = Lt ZL =? Um t¢ ete Leics
4 @; ai ? 2 is
- 7 ™
ra fee he ™~ J-Gt se ~— Pee tea = Js? ro £ Cen fy AN SS awe Pee -<C-
Pas . ; . ie ao ; 4 be “ 2.
ct PPL: act Qu Pesce “~“— Apt va Ate CM Cast uM be A - ee
—"
> a : — —_- 5
- =” - -
~~ 4 C3441 -< wi be ~ “= Ke Bu = ys! - iY he a 2 ae c i AS f-3eo. Pa Sunde pee.
J ff
> ¢ , ., m
¥ —_ Se € -_ . ‘ /

we, ttt -£4.~—— he Cc. Paste.’ , aa i Pk

ms “i. ‘“_: re -. . . t il fa god Phy L, w- At gin > hice fF vee. eo
as be: “pf OF. ae ke x. vd C1 - Pe) a“ of ‘

— lL — 4 a P
Go ice hs 2a iat Aaa al gs a “aoe ? PED. Pz Z es ais Se cae”
Es , e : (Sf te)
- ——O rr
FRAME 016 / 023POOR LEGIBILITY — PENDING RE-EXAMINATION
Lean ee TY Pe FS OE 6 or & Hm OEP oy re ee ow ar

ee we, + 4
sy aaa ad weer PEM. ot Liv»

, age Z 7 4 : :
4,7”); OTA eer Cente lee swe ptint

Of fel en hit Zie7
et Bb abs

, oa i” 4
2 ae Phere rhore_ So Por Fy

ar 4 Oe eae

pp Gr en - E i et A i a pe a Hh atigeot
TK 2 Erste Orr tp Ai bet’ Ldapel- Lr~— stobittdb,
S= As- Aprcneretik Ar 4- 9 plete he. Blaser. pe

ee whit Ce eS, ee ves wo Os
» nomen Oe Sethe. Lineal tae Coty oe CED Jorn fe

Aare Mtr. From his, & Sipare. ZZ eijeet
FL

re CALC Ariewt Oe. Ahn” ¢ Ss! ays ie.
AM i1e at eo Me See Xk ste -f

- b age (= a <3 a dain 7 ~~ x ‘intinast
Cae. ae ay ya 0k ZL, CS ovo Binal ua ‘
plato on ey

<a a re eines Lee ll ae oe) wa ee
fr pe Ad JIO° Las? 4 ss S72 apo fe APAL- se Pe Meet
ae ee a With & fey 2... oe
tet eA Ai Lea big ps €. they AO Sb 4 See oe eee take? KL
fet poi he Llane. Pog ae: 3” ed yer ee
Z
FRAME 017 / 023tesseract-200dpi
feat — >

August 22, 1961

Office of Public Information
Wright = Patterson Air Force Base
Dayton, Ohio

Gentlemen:

During the past two weeks I have been visualy observing an object in
orbit around the earth. I first saw it at 00:30 hours on august 6,1961.
Since that time I have seen it some ten times. I have been able to
determine that it takes about twenty-four hours for ib to orbit. It
travels about fifteen rt eb per. hour.I see it every cleaz@ night. It
always comes up about fifteen degrees east of magnetic north and moves
toward the southeast. I followed it!s course Wed. night August 16, for
three a nd one half hours and checked it8s traveled distance at fifty

two and one half degrees, This further proves it's time to orbit as
twenty four hours.

I do not remember hearing of a satalite being put in orbit that would
take this long to orbit. Also if it takes twenty four hours to orbit
and is traveling close to eighteen thousand miles per. hour, to stay
in orbit, it would be some sixty five thousand miles above the earth.
If it is at this altitude, it must be something very large, because it
appears about as bright as a second magnitude star.

I wonder if you have any information as to what it is. If so I hope you
will let me know.
FRAME 018 / 023tesseract-200dpi
re rm a ee a ee ee

U.S. AIR FORCE TECHNICAL JNFORMATION SHEET

This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomenon that you have observed.
Pleasé try to answer as many questions as you possibly can. The information that you give will
be used for research purposes, and will be regarded as confidential material. Your name will-nof
be used in connection with any statements, conclusions, or publications without your permission.

We request this personal information so that, if it is deemed necessary, we may contact you for
further details.

——$—— EE ee ee oe r=.

1. When did you see the object? 2. Time of day: — ae FO
Hour Minutes
a on a" van (Circle One): (AM, or P.M.
» Time Zone: ce,
maw mone (Circle One)<{a. Esters (Circle One): a, Daylight Saving
b. Central b. Standard
¢. Mountain oO ad
d. Pacific

e. Other

——- + — —

4. Where were you when you saw the object?

Middlet cwd# (ER Ee
ecarest Postal Address City or Town State or Country

Additional remarks: —

__-_ —_ — —_— —_— — ———

—~
— —
——- —— —— —_— —_ es se sess eee —_ — —_—_—__ --—— ~— — a

5. How long was object in sight? L

Hours Minutes Seconds

5.1 How was time in sight determined?

Ga. tame c. Not very sure

D. Fairly certain d. Just a quess

————-

6. What wes the condition of the sky?

_—_—— —_——_—- ae ee —_—---

.

DAY NIG
a. Bright Cu Bright)
b. Cloudy » Cloudy
7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
b. in back of you e. Overhead
c. To your right f. Don’t remember

ATI C FEB 60 164 This form supersedes ATIC 164, 13 Oct 54.
FRAME 019 / 023tesseract-200dpi
FOE rm ree a ee Ct eS Et ones Gs OSE
eR eee onl slit

Page 2

8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?

8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b._A few (b. Dull moonlight
Ce. Many » ¢. No moonlight — pitch dark
d. Don't remember d. Don’t remember

9. The object appeared:

et oe

a “~\
(Circle One): oS Sabteae 5b. Shiny c. Dark d. Don't remember

10. If it cppeared as a light, was it brighter than the brightest :stars?

7 rs. b- a ; J . es
wT es DAG wf aSHe A ress V2

11. Did the object: (Circle One for each question)

a. Appear to stand still ot cny time? Yes (Ne) Don’t Know
b. Suddenly speed up and rush away at any time? Yes (Ne) Don’t Know
c. Breck up into parts or explode? Yes Fee Don’t Know
¢. Give off smoke? Yes (No) Don't Know
e. Change brightness? (Yes) No Don’t Know
f. Change shape? Yes (No? Don’t Know
g- Flash or flicker? | (es) No Don’t Know
h. Disappear.and reappecr ? Yes fio} Don’t Know

12. Did the object. move behind somothing.ot any time, particularly a cloud?

(Circle One): Yes (No) Don’t Know. IF you answered YES, then tell what
it moved behind: ;

13. Did the object.move in front of something at any time, particularly.a cloud?
(Circle One): Yes (No) Don’t Know. IF you answered YES, then tell what

in front of:

_ ——

ee eee _— —— ——— —

ie ae

14. Did the obiect appear: . (Circle One): /a. Solid / b. Transparent c. Vapor d. Don’t Know

————

15. Did you observe the object through any of the following?

a. Eyeglosses Yes (No e. Binoculars AS (No?
b. Sun glasses Yes (No f. Telescope Ves” ie:
c. Windshield Yes (No? g- Theodolite Yes (No ?
d. Window glass Yes (No) h. Other —:
FRAME 020 / 023tesseract-200dpi
Page 3

16. Tell in a few words the following things about the object.
/

a, Sound BS A EE i ET |
/

ca
“fs
“ @
all *

b. Color

17. Draw a picture that will show the shape of the object or objects. Label.and include in your sketch any details

of the object that you saw ‘such as wings, protrusions, etc., and especially exhaust trails or vopor trails.
Place an arrow beside the drawing to show the diraction the object was. moving,

18. The edges of the object were:
(Circle One): a. Fuzzy or blurred
be ike a bright stay Neked ye
(¢. Shorply outlined / 4 ./ dz lesce pe

d. Don’t remember

19, IF there was MORE THAN ONE object, then how many were there?
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
FRAME 021 / 023tesseract-200dpi
PA NE

Page 4

20. Draw a picture that will show the motion that the object or objects made. Place an '‘A’’ at the beginning of
the path, a ‘’B”’ at the end of the path, and show any changes in direction during the course.

21. How large did the asic“ ote aba a as compared to an object. with which you are familiar?
Chavet poice the Size of He Phlycet Fork

22. We wish to know the angulor size. Hold:a match stick at arm's length in line with a known object.ond note
how.much of the object.is: covered by. the head of the match. If you had performed this experiment:at the time
of the sighting, how much of the object would have been covered by the match head?

AH ef at, sithhng with ove eye,

Wo

23. Did the object disappear: while you were watching it? IF so, how?

24. In order thet you can give as clear.a picture os possible of what you saw, describe.in your own words a

common object or objects which, when placed.up in the sky, would give the some appearance as the object
which you sow.

7 ; '
Va vi S) pe L ofleo Br J bt tA COwWwe SiS Hew w 8 esa Ps

+ fam 2 Shoe yf, ol i DY T frou Ceuw fe a Hine Oe L 2 A ve Aw,
%o +evr fprres the dlawerver Cf fhe £3 /lvo HW.
FRAME 022 / 023tesseract-200dpi
: Spenser eer eennearrermenrernemerenne nt TE A OL TT a LIE nn
~ : .

Page 5

25. Where were you located when you saw the object? 26. Were you (Circle One)
(Cirele One):
Gg, In the business section of a city?

a. Inside a building ( cb. In the residential section of o city?”

b. Ino car “etn open countryside?
Ce Outdoors” ») d. Near an airfield?

a. Th an olrp airplane (type) e. Flying over a city?

e. At sea i f. Flying over open country?

f. Other oe Tee g. Other

7 27. What were you doing at the time you saw the object, .and how did you happen to notice it?

/ J eS Jae Ms nn Ln +f i) hen yw {Axa er

28. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete.the following questions:|

28.1 What direction were you moving? (Circle One)

a, North c. East e. South

9g. West
b. Northeast d. Southeast f, Southwest

h. Northwest

28.2 How fast were you moving? miles per hour.

28.3 Did you stop at eny time while you were looking at the object?
(Circle One) Yes - No

> 29. What direction were you looking when you first saw the object? (Circle One)

g.: West
a. North  _ c. East ‘e. South h. Northwest
b. Northeast d. Southeast f. Southwest i. Overhead

a ee

30. - What direction were you looking when you last saw the object? (Circle One)

g. West |
a. North ce. East e. South h. Northwest
be. ON Northeast hs d. Southeast f. Southwest i. Overhead

31. If you ore familiar with bearing terms (angular direction), try to estimate the number of degrees the object was
from true North (thru east) and also the number of degrees it was upward from the horizon (elevation).

31.1 When it first appeared:

a. From true North__ BO degrees.
b. From horizon kod degrees.

31.2 When it disappeared:

: oa my. f a J ~ yi
a. From true North yo degrees. 0/4, J Sf*rres
b. From horizon \ 5 degrees. rf P BR oe ,¢ fi Wsimi dg 2,

aie 1 ~ wwe 8
FRAME 023 / 023tesseract-200dpi
Page 6

_—_--- oO —_—-

— oe eee ee ee

32. In the following sketch, imagine that you are at the point shown, Place an “A” on the curved line to show how

high the object was above the horizon (skyline) when you first saw it. Place a “B” on the same curved line to
show how high the object was above the horizon (skyline) when you last saw it.

, OND gf ace
ee ae Tak wets “

_— ——

meee ee ——i—--

33. In the following larger sketch piace an “A” at the position the object was when you first saw it, and a “B” at its
position when you /ast saw it. Refer to smaller sketch as an example of how to complete the larger sketch.

alll Aas ll las a il ay Be"